EMPYEMA THORACIS IN CHILDREN: A CLINICAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 1
Abstract
BACKGROUND Empyema thoracis is a disease that despite centuries of study still causes significant morbidity and mortality. AIMS To study the age-sex profile, clinical presentation, etiologic agents, management and the overall treatment outcome of empyema thoracis in children. METHODOLOGY A total of 25 patients of both the sexes aged 0-12 years diagnosed to have empyema thoracis and who underwent tube thoracostomy from March 2013 to February 2014 were studied. Detailed clinical history, physical examination, relevant routine and specific investigation were done. The pleural fluid was studied for gram staining, microscopy, cytology, pleural fluid culture and antibiotic sensitive pattern. All the patients were treated with tube thoracostomy and antibiotic therapy depending on the culture and sensitivity pattern. Complications were recorded. RESULTS Majority of patients (0.64%) were seen in age group of 1-5 years. Fever (96%), breathlessness (92%), and cough (72%) were the commonest presenting features. Bacteriological examination revealed staphylococcus aureus as the commonest etiologic agent (20%) isolated from pleural fluid culture. Pyopneumothorax (16%) was the commonest complication seen in these patients. All patients (92%) were treated with antibiotics, and drainage of the empyema was effected by closed thoracostomy in (92%) of the cases. There was no mortality. CONCLUSION Empyema is not rare in our practice. Early diagnosis and proper treatment of pneumonia prevent the development of empyema. Antibiotics and tube thoracostomy is an effective method of treating pyogenic empyema thoracis in children in resource poor settings.
Authors and Affiliations
Narendra Laishram, Daizy Ngangom
Keywords
Related Articles
- EP ID EP107147
- DOI 10.14260/jemds/2016/11
- Views 64
- Downloads 0
CLINICAL AND AETIOLOGICAL PATTERN OF VAGINAL DISCHARGE IN PATIENTS ATTENDING STD CLINIC OF A TERTIARY HOSPITAL
BACKGROUND Vaginal discharge is a considerable problem for many women causing discomfort, anxiety affecting women's quality of life and consuming considerable resources though some vaginal discharges are normal. MATERIAL...
A COMPARATIVE STUDY OF FINE NEEDLE ASPIRATION CYTOLOGY, ULTRASONOGRAPHY AND RADIONUCLIDE SCAN IN MANAGEMENT OF SOLITARY THYROID NODULE: A PROSPECTIVE ANALYSIS OF FIFTY CASES
Solitary thyroid nodule is a common clinical entity encountered by the otorhinolaryngologist and physicians. The optimum diagnostic strategy for euthyroid patient with a solitary nodule thyroid is still a matte...
THE RELATIONSHIP BETWEEN ADMISSION BLOOD GLUCOSE LEVELS AND HOSPITAL MORTALITY
[b] AIMS/HYPOTHESIS[/b]: The purpose of this study was to examine the relationship among the blood glucose levels and mortality rates between the patients admitted to Intensive care unit. [b]METHODS[/b]: In a Re...
A STUDY OF HEARING EVALUATION FOR NEONATES WITH HYPERBILIRUBINEMIA USING OTOACOUSTIC EMISSION AND BRAIN STEM AUDITORY EVOKED RESPONSE
Jaundice is one of the most common problems occurring in newborns. Although most of jaundiced patients are normal; because of the bilirubin toxicity, high serum levels can lead to kernicterus. It is important to ide...
INFLUENCE OF MATERNAL FACTORS ON FOETAL MALNUTRITION USING CAN SCORE ASSESSMENT- A TERTIARY CARE CENTRE EXPERIENCE
BACKGROUND Potential conditions that predispose babies to being small at birth are quite common in tropical practice. Several factors may predispose to SGA delivery.1 Maternal factors known to contribute to foetal malnut...